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单绒毛膜单羊膜囊双胎妊娠中脐带缠绕的早期超声识别

Early Ultrasound Identification of Cord Entanglement in Monochorionic Monoamniotic Twin Pregnancy.

作者信息

Panaitescu Anca Maria, Gică Nicolae, Botezatu Radu, Cimpoca Brîndușa, Veduță Alina, Peltecu Gheorghe, Ciobanu Anca Marina

机构信息

"Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Department of Obstetrics and Gynecology, Filantropia Clinical Hospital, 011171 Bucharest, Romania.

出版信息

Diagnostics (Basel). 2021 Mar 15;11(3):520. doi: 10.3390/diagnostics11030520.

DOI:10.3390/diagnostics11030520
PMID:33804073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8000087/
Abstract

Monochorionic monoamniotic pregnancy are considered high risk gestations and the fetal outcome is at times unpredictable. Correct diagnosis and counselling are extremely important, especially regarding the risk of unexpected fetal demise. We present the rare case of a monochorionic monoamniotic twin pregnancy with early identification of cord entanglement and the characteristic ultrasound findings in the first trimester of pregnancy.

摘要

单绒毛膜单羊膜囊妊娠被认为是高危妊娠，胎儿结局有时难以预测。正确的诊断和咨询极其重要，尤其是关于意外胎儿死亡的风险。我们报告了一例罕见的单绒毛膜单羊膜囊双胎妊娠病例，在妊娠早期就识别出脐带缠绕及特征性超声表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50ca/8000087/1fbc8759e6f7/diagnostics-11-00520-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50ca/8000087/1fbc8759e6f7/diagnostics-11-00520-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50ca/8000087/1fbc8759e6f7/diagnostics-11-00520-g001.jpg

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引用本文的文献

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本文引用的文献

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Outcome of twin pregnancy with two live fetuses at 11-13 weeks' gestation.11-13 孕周双活胎妊娠结局。
Ultrasound Obstet Gynecol. 2020 Jan;55(1):32-38. doi: 10.1002/uog.21892. Epub 2019 Dec 13.
2
Perinatal mortality, timing of delivery and prenatal management of monoamniotic twin pregnancy: systematic review and meta-analysis.围产儿死亡率、分娩时机和单羊膜囊双胎妊娠的产前管理：系统评价和荟萃分析。
Ultrasound Obstet Gynecol. 2019 Feb;53(2):166-174. doi: 10.1002/uog.20100.
3
Diagnosis of Fetal Structural Anomalies at 11 to 14 Weeks.
孕11至14周胎儿结构异常的诊断
J Ultrasound Med. 2018 Aug;37(8):2063-2073. doi: 10.1002/jum.14561. Epub 2018 Feb 24.
4
Cord entanglement and perinatal outcome in monoamniotic twin pregnancies.单羊膜囊双胎妊娠的脐带缠绕与围产儿结局。
Ultrasound Obstet Gynecol. 2010 Feb;35(2):201-4. doi: 10.1002/uog.7501.
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Perinatal outcome of monoamniotic twin pregnancies.
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First trimester diagnosis of monoamniotic twin pregnancies.单羊膜囊双胎妊娠的孕早期诊断。
Ultrasound Obstet Gynecol. 2000 Sep;16(3):223-5. doi: 10.1046/j.1469-0705.2000.00229.x.
7
First-trimester cord entanglement in monoamniotic twins.单羊膜囊双胎妊娠孕早期脐带缠绕
Ultrasound Obstet Gynecol. 1999 Feb;13(2):140-2. doi: 10.1046/j.1469-0705.1999.13020140.x.